Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARISA REZNIK, LDD
Active Sole ProprietorLARISA REZNIK, LDD is a 122400000X healthcare provider located in ANDERSON ISLAND, Washington. NPI 1386839736 is currently active in the NPPES registry. Verify at CMS.
122400000X · ANDERSON ISLAND, WA
Registration Details
- NPI Number
- 1386839736
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 10, 2007 (18.921084818917 yrs)
- Last Updated
- Sep 10, 2007
- License
-
DN00000325 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11414 MATTHEWS WAYANDERSON ISLAND, WA, 98303Browse WA providers · Browse ZIP 98303
- Phone
- 2538842369
- Primary Specialty
-
122400000X
122400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.